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Wertigkeit der CT und des transthorakalen Lungenultraschalls bei PatientInnen mit systemischer Sklerose: Gemeinsame Stellungnahme der ÖRG/ÖGP/ÖGR/ÖGUM

Lung involvement is the most frequent cause of death in patients with systemic sclerosis (SSc). As lung involvement is frequently asymptomatic, the current recommendation is to carry out thoracic computed tomography (CT) in all patients newly diagnosed with SSc. There is currently disagreement on ho...

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Detalles Bibliográficos
Autores principales: Grohs, M., Moazedi-Fuerst, F. C., Flick, H., Hackner, K., Haidmayer, A., Handzhiev, S., Kiener, H., Löffler-Ragg, J., Mathis, G., Mostbeck, G., Schindler, O., Widmann, G., Prosch, H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9468076/
https://www.ncbi.nlm.nih.gov/pubmed/35513537
http://dx.doi.org/10.1007/s00393-022-01206-4
Descripción
Sumario:Lung involvement is the most frequent cause of death in patients with systemic sclerosis (SSc). As lung involvement is frequently asymptomatic, the current recommendation is to carry out thoracic computed tomography (CT) in all patients newly diagnosed with SSc. There is currently disagreement on how patients with SSc for whom no lung involvement was found at the time of diagnosis, should be followed up. Based on a consensus of Austrian rheumatologists, pneumologists and radiologists it is recommended that for asymptomatic patients with a negative CT at the time of initial diagnosis, a transthoracic ultrasound examination should be carried out annually and a lung function examination every 6–12 months. In the presence of a positive lung ultrasound finding a supplementary CT for further clarification is recommended. Based on the data situation, annual CT follow-up controls are recommended for patients with a high risk as defined by appropriate risk factors.